TY  - JOUR
A1  - Schneidmüller, Dorien
A1  - Röder, Christoph
A1  - Kraus, Ralf
A1  - Marzi, Ingo
A1  - Kaiser, Martin
A1  - Dietrich, Daniel
A1  - Laer, Lutz von
T1  - Development and validation of a paediatric long-bone fracture classification : a prospective multicentre study in 13 European paediatric trauma centres
T2  - BMC Musculoskeletal Disorders
N2  - Background: The aim of this study was to develop a child-specific classification system for long bone fractures and to examine its reliability and validity on the basis of a prospective multicentre study. Methods: Using the sequentially developed classification system, three samples of between 30 and 185 paediatric limb fractures from a pool of 2308 fractures documented in two multicenter studies were analysed in a blinded fashion by eight orthopaedic surgeons, on a total of 5 occasions. Intra- and interobserver reliability and accuracy were calculated. Results: The reliability improved with successive simplification of the classification. The final version resulted in an overall interobserver agreement of kappa=0.71 with no significant difference between experienced and less experienced raters. Conclusions: In conclusion, the evaluation of the newly proposed classification system resulted in a reliable and routinely applicable system, for which training in its proper use may further improve the reliability. It can be recommended as a useful tool for clinical practice and offers the option for developing treatment recommendations and outcome predictions in the future.
Y1  - 2011
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/19254
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30-105811
N1  - © 2011 Schneidmüller et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
VL  - 12
IS  - 89
ER  -